Adjuncts to Facial Rejuvenation

2020 ◽  
Author(s):  
Heather R. Faulkner

The preferred methods for facial rejuvenation have been changing over the past decade, with operative procedures on the decline and minimally invasive, office-based procedures on the rise. As a result, it is critical for plastic surgery practitioners to understand the intricacies of the use of neuromodulators and soft tissue fillers in this milieu. While these procedures are usually performed in an office, without general anesthesia, the risk of significant complications still exists. The knowledge of facial anatomy, techniques, and pitfalls is essential for achieving high quality, predictable, and reproducible results. Likewise, when a complication arises, prompt recognition and appropriate treatment is paramount. In this chapter, the history, purpose, technical guidelines, and complications of adjunctive techniques for facial rejuvenation are reviewed in detail. This review contains 2 tables, and 52 references. Keywords: facial rejuvenation, neuromodulator, soft tissue filler, botulinum toxin, dermal filler, aging face, facial rhytids, filler complications, glabellar lines, nasolabial fold 

2017 ◽  
Vol 11 (2) ◽  
pp. 81-85
Author(s):  
Md Hafizur Rahman ◽  
Md Maiyeen Uddin

The prognosis of patients with musculoskeletal tumors has improved markedly because of the advent of new chemotherapeutic drugs and regimens and as a result of advances in imaging and surgical techniques. Limb-salvage operations can currently be performed with better outcomes, while in the past; limbs with tumors were treated only with amputation. Accurate preoperative surgical staging of musculoskeletal tumors is currently possible because imaging techniques provide prognostic information and aid clinicians in choosing the most appropriate treatment option for the patient. The aim of this article is to outline the presentation, imaging, and staging of the primary and metastatic bone and soft tissue tumors. Some of the image-guided interventions for these tumors are also presented.Faridpur Med. Coll. J. Jul 2016;11(2): 81-85


2009 ◽  
Vol 35 ◽  
pp. 1672-1680 ◽  
Author(s):  
ANTHONY P. SCLAFANI ◽  
STEVEN FAGIEN

2021 ◽  
Vol 10 (8) ◽  
pp. 336-343
Author(s):  
Jemma Gewargis ◽  
Vikram Swaminathan

Lower face age changes are hugely impactful on the overall ageing concerns presented by patients, and lower face-lifting treatments form an integral part of the rejuvenation and beautification of the face, as part of a comprehensive treatment plan. It is essential that the clinician possesses a deeper understanding of facial anatomy in this region, to allow a more holistic, rather than isolated, approach to rejuvenation and reduce complication risks and downtime. A combination of dermal filler and neuromodulators can be used in the lower face to produce effective, long-lasting and natural facial rejuvenation results.


2010 ◽  
Vol 125 (4) ◽  
pp. 1250-1256 ◽  
Author(s):  
Rod J. Rohrich ◽  
Gary Monheit ◽  
Alexander T. Nguyen ◽  
Spencer A. Brown ◽  
Steven Fagien

2017 ◽  
Vol 41 (5) ◽  
pp. 1177-1183 ◽  
Author(s):  
Ali A. Qureshi ◽  
Rajiv P. Parikh ◽  
Ketan Sharma ◽  
Terence M. Myckatyn ◽  
Marissa M. Tenenbaum

Author(s):  
Marc Mespreuve ◽  
Karl Waked ◽  
Barbara Collard ◽  
Joris De Ranter ◽  
Francis Vanneste ◽  
...  

Abstract Background The use of soft tissue fillers for facial rejuvenation is increasing rapidly and the complications, unfortunately, follow the same path. Blindness caused by intravascular filler injections is a rare but devastating complication. Knowledge of the individual arterial anatomy may aid the injector in avoiding injecting into an artery. Increasing the awareness about and illustration of the extreme variations in the individual vascular anatomy and subsequently procuring information for the accurate planning of those, so called, minimally invasive procedures may help to prevent blindness. Objectives To evaluate if the use of Magnetic Resonance Angiography (MRA) may visualise the arterial facial anatomy in a contrast- and radiation-free way and study the individual arterial variations using an augmented reality (AR) image. Methods The individual arterial anatomy of the three terminal branches of the Ophthalmic Artery (Supraorbital (SO); Supratrochlear (STr); and Dorsal Nasal (DN) arteries) of 20 volunteers was studied by a 3 Tesla MRI, adapting a recently published imaging technique, combining infrared (IR) facial warming and 3D-TOF MOTSA MRA. The resulting visualisation of the facial arteries was shown on the patient’s face through AR technology. Results The MRA was able to visualise the SO in 90.0%, STr in 92.5%, and DN arteries in 75% of the examined patients, as well as numerous variations in both vessel localization and path. Furthermore, a proof-of-concept of the AR-visualisation of the individual arterial anatomy was successfully implemented. Conclusions Dermal filler injectors should be aware of the risk of filler-induced blindness and familiarise themselves with the visualisation of the variable facial vascular anatomy around the eye. The implementation of a one-time MRA and subsequent AR-visualisation may be useful in the accurate planning of minimally invasive facial rejuvenation procedures.


2020 ◽  
Vol 46 (7) ◽  
pp. 958-961 ◽  
Author(s):  
Arisa E. Ortiz ◽  
Jusleen Ahluwalia ◽  
Silvia S. Song ◽  
Mathew M. Avram

2021 ◽  
pp. 120347542110081
Author(s):  
John Arlette ◽  
Peter J. Velthuis ◽  
Leonie W. Schelke

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